| NPI | 1740808252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE JEANETTE LE BLANC Therapist 602-290-1911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2024-07-30 |